Average Medical Assistant Salary in TexasNo State Income Tax
Medical Assistants in Texas earn an average of $39,897 per year across 5 metro areas. This is +5.0% lower than the national average.
Average Salary
$39,897
per year
Hourly Rate
$19.18
per hour
vs National
-5.0%
$42,000 national
Salary Range
$26,265
to $57,621
About Medical Assistant Careers in Texas
Medical assistants are versatile allied health professionals who perform both clinical and administrative duties in physician offices, outpatient clinics, urgent care centers, and ambulatory surgery centers — serving as the operational backbone of the modern clinic. On the clinical side, they take vital signs, prepare patients for examinations, assist physicians during procedures, administer medications and injections, perform phlebotomy, process lab specimens, and apply dressings. On the administrative side, they schedule appointments, verify insurance, manage electronic health records (EHR), handle patient check-in and check-out, and process prior authorizations. With a national median salary of $42,000 (BLS, May 2023), medical assisting offers an accessible entry point into healthcare without requiring a four-year degree — and strong career laddering opportunities into nursing, healthcare administration, and clinical specialist roles. Employment is concentrated heavily in primary care, internal medicine, pediatrics, and multi-specialty group practices.
In Texas, medical assistants earn an average of $39,897 per year as of 2026, with salaries ranging from $26,265 for entry-level roles to $57,621 for the most experienced professionals — +5.0% below the national average. Pay is influenced most by certification — cma (aama) or rma (amt) credential holders earn 5–15% above uncertified medical assistants; certification also improves access to hospital-system positions with substantially better pay and benefits, specialty setting — dermatology, plastic surgery, ophthalmology, orthopedics, and cardiology mas typically earn above primary care mas, reflecting higher procedure volumes and specialized skill requirements, and the specific metro area within Texas.
Cost of Living Adjusted Salary
Nominal Salary
$39,897
Cost of Living Index
93
100 = national average
Adjusted Salary
$42,900
purchasing power equivalent
After adjusting for Texas's cost of living (below average), a Medical Assistant's salary of $39,897 has the purchasing power of $42,900 in an average-cost area. Additionally, Texas has no state income tax, further increasing take-home pay.
Medical Assistant Salary by City in Texas
| City | Median Salary | Hourly Rate | Entry Level (P10) | Senior (P90) | Employment |
|---|---|---|---|---|---|
| Austin, TX | $43,290 | $20.81/hr | $27,710 | $61,665 | 705 |
| Houston, TX | $42,400 | $20.38/hr | $28,050 | $60,371 | 874 |
| Dallas, TX | $40,984 | $19.70/hr | $27,486 | $60,502 | 836 |
| San Antonio, TX | $38,086 | $18.31/hr | $24,991 | $54,622 | 606 |
| El Paso, TX | $34,724 | $16.69/hr | $23,087 | $50,943 | 729 |
Source: Bureau of Labor Statistics OEWS Survey, 2026. Sorted by median salary (highest first).
Texas vs National Average
Medical Assistant Salary Comparison
Employment in Texas
There are approximately 3,750 Medical Assistants employed across 5 metro areas in Texas.
Key Industries: Energy & Oil, Technology, Healthcare
State Income Tax: None (tax-free state)
Medical Assistant Salary Range in Texas
Entry Level (10th Percentile)
$26,265
Starting salary for new Medical Assistants
Median (50th Percentile)
$39,897
Mid-career Medical Assistant salary
Senior (90th Percentile)
$57,621
Top earners in the field
Related Occupations in Texas
Nurse Practitioner
$122,658
avg in TX
+$82,761 vs Medical Assistant
Registered Nurse
$90,049
avg in TX
+$50,152 vs Medical Assistant
Dental Hygienist
$86,888
avg in TX
+$46,991 vs Medical Assistant
Licensed Practical Nurse
$57,242
avg in TX
+$17,345 vs Medical Assistant
Nursing Assistant
$36,400
avg in TX
-$3,497 vs Medical Assistant
Medical Assistant Salary in Neighboring States
Compare Medical Assistant salaries in Texas with nearby states to find the best opportunities.
More Medical Assistant Data
Frequently Asked Questions
What is the average Medical Assistant salary in Texas?
The average Medical Assistant salary in Texas is $39,897 per year ($19.18/hour) based on 2026 data across 5 metro areas. This is 5.0% below the national average of $42,000.
What is the highest paying city for Medical Assistants in Texas?
Austin, TX is the highest paying city for Medical Assistants in Texas, with a median salary of $43,290 per year. The lowest paying metro area is El Paso, TX at $34,724.
What is the salary range for Medical Assistants in Texas?
Medical Assistant salaries in Texas range from $26,265 (entry-level, 10th percentile) to $57,621 (experienced, 90th percentile). The median salary is $39,897 per year.
About This Data
Salary data is sourced from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey. State-level averages are calculated from metro area data within Texas. Figures represent 2026 estimates and may not reflect all employers or self-employed workers. Cost of living adjustments use regional indices to provide purchasing power context.